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Individual

TIMOTHY L. SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA- C, ATC

Contact information

Practice address
17 RIVERSIDE ST, SUITE 101, NASHUA, NH 03062-1304
(603) 883-0091
Mailing address
17 RIVERSIDE ST, SUITE 101, NASHUA, NH 03062-1304
(603) 883-0091

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1138
NH
363A00000X
Physician Assistant
PA5368
MA

Other

Enumeration date
04/28/2015
Last updated
01/04/2016
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